Individual
MR. JORGE LUIS SILVA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30700 SW 188TH AVE, HOMESTEAD, FL 33030-3834
(305) 299-9742
(786) 610-0686
Mailing address
30700 SW 188TH AVE, HOMESTEAD, FL 33030-3834
(305) 299-9742
(786) 610-0686
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9460941
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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